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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(04): 453-458
DOI: 10.4103/ijri.IJRI_482_19
Interventional Radiology

Microwire navigation and microcatheter positioning by balloon manipulation for the treatment of intracranial aneurysms: A pilot study

Ali Burak Binboga
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey
,
Mehmet Onay
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey
,
Cetin Murat Altay
Department of Radiology, Dr. Ersin Arslan Training and Research Hospital, Eyüpoğlu Mahallesi, Hürriyet Cd. No: 40, Şahinbey/Gaziantep, Turkey
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Background and Objective: An intracranial aneurysm (IA) is a life-threatening condition and endovascular treatment (EVT) is a demanding procedure, especially in IAs with an unfavorable anatomy. The aim of this study was to investigate the safety and efficacy of balloon-assisted microwire navigation and microcatheter positioning in the EVT of IAs with challenging anatomies. Materials and Methods: This retrospective study included patients that underwent balloon-assisted microwire navigation and microcatheter positioning in the EVT of IAs between September 2016 and January 2019. All EVT procedures and data collection were performed by the same two neurointerventional radiologists. Technical success and complication rates, safety, and efficiency of the balloon manipulation method were evaluated. Statistical software was used to analyze the basic descriptive data of the patients and aneurysms. Results: This study included 14 patients. The microwire navigation of the target artery with balloon manipulation was used in 4 aneurysms of 4 patients. Microcatheter positioning with balloon manipulation was used in 10 aneurysms of 10 patients. There was no complication caused by the balloon manipulation technique. The technical success rate was 100’. Conclusion: In the EVT of IAs with challenging anatomies, the presented technique is a safe and effective option without additional complications, especially in the target artery with an acute angle and in small aneurysms.

Keywords

Endovascular treatment - intracranial aneurysm - microcatheter positioning - microwire navigation


Publication History

Received: 03 December 2019

Accepted: 15 October 2020

Article published online:
14 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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